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RN Case Manager
CVS Health. Coordinates all case management activities with members to evaluate medical needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and clinical coordination, ensuring compliance with regulatory standards while enhancing member wellness through effective communication and problem-solving skills. Proficient in motivational interviewing and documentation, with a strong focus on achieving performance metrics in a managed care environment.
Highest-signal resume keywords
Current Clinical LicensureCase Management ExperienceMotivational Interviewing SkillsExcellent Communication SkillsCCM Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case ManagementDocumentation ExcellencePerformance Metrics AchievementRegulatory ComplianceTime Management
Soft Skills
Customer Service OrientationProblem SolvingHighly OrganizedSelf-DrivenRapport Building
Tools & Technologies
Technology Proficiency
Certifications & Qualifications
CCM CertificationActive Clinical Licensure
Industry Keywords
Managed Care OrganizationWellness IntegrationNetwork ManagementClinical Coverage Policies
About the role
Key responsibilities & impact- Coordinates all case management activities with members to evaluate medical needs
- Facilitates the overall wellness of members
- Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration
- Instructs programs and procedures in compliance with network management and clinical coverage policies
- Works variable schedules, including 2 days weekly until 9pm local time
Requirements
What you’ll need- Current/Active Clinical Licensure (RN, LCSW, LPC, LMFT)
- Case Management experience
- Strong customer service orientation and problem solving
- Excellent Communication/Telephonic skills
- Excellent motivational interviewing skills/ability to built rapport and trust telephonically
- Excellence in documentation and respecting compliance/regulatory standards
- Highly organized, remain self-driven without direct supervision
- Manage time effectively
- Achieve performance metrics
- Technology proficiency
- Variable work scheduled with ability to work 2 days weekly until 9pm local time
- Bachelors Degree Required
- Preferred: Bachelors and/or Master's Degree
- Preferred: CCM Certification
- Preferred: Previous experience in Managed Care Organization
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay range